Tex. Occ. Code Section 562.014
Narrow Therapeutic Index Drugs


(a)

Except as provided by this section, drug selection as authorized by this subchapter does not apply to the refill of a prescription for a narrow therapeutic index drug. The board, in consultation with the Texas Medical Board, shall by rule establish a list of narrow therapeutic index drugs to which this subsection applies. A prescription for a narrow therapeutic index drug may be refilled only by using the same drug product by the same manufacturer that the pharmacist last dispensed under the prescription, unless otherwise agreed to by the prescribing practitioner. If a pharmacist does not have the same drug product by the same manufacturer in stock to refill the prescription, the pharmacist may dispense a drug product that is generically equivalent if the pharmacist, before dispensing the generically equivalent drug product, notifies:

(1)

the patient, at the time the prescription is dispensed, that a substitution of the prescribed drug product has been made; and

(2)

the prescribing practitioner of the drug product substitution by telephone, facsimile, or mail, at the earliest reasonable time, but not later than 72 hours after dispensing the prescription.

(b)

The board and the Texas Medical Board shall establish a joint committee to recommend to the board a list of narrow therapeutic index drugs and the rules, if any, by which this section applies to those drugs. The committee must consist of an equal number of members from each board. The committee members shall select a member of the committee to serve as presiding officer for a one year term. The presiding officer may not represent the same board as the presiding officer’s predecessor.

(c)

Expired.

(d)

Expired.
Acts 1999, 76th Leg., ch. 388, Sec. 1, eff. Sept. 1, 1999.
Amended by:
Acts 2007, 80th Leg., R.S., Ch. 385 (S.B. 625), Sec. 1, eff. June 15, 2007.

Source: Section 562.014 — Narrow Therapeutic Index Drugs, https://statutes.­capitol.­texas.­gov/Docs/OC/htm/OC.­562.­htm#562.­014 (accessed Jun. 5, 2024).

562.001
Definitions
562.002
Legislative Intent
562.003
Disclosure of Price
562.004
Prescription Transmitted Orally by Practitioner
562.005
Record of Dispensed Drug or Biological Product
562.006
Label
562.007
Refills
562.008
Generic Equivalent or Interchangeable Biological Product Authorized
562.009
Requirements Concerning Selection of Generically Equivalent Drug or Interchangeable Biological Product
562.010
Responsibility Concerning Generically Equivalent Drug or Interchangeable Biological Product
562.011
Restriction on Selection of and Charging for Generically Equivalent Drug or Interchangeable Biological Product
562.012
Substitution of Dosage Form Permitted
562.013
Applicability of Subchapter
562.014
Narrow Therapeutic Index Drugs
562.015
Dispensing Directive
562.016
List of Approved Interchangeable Biological Products
562.0051
Communication Regarding Certain Dispensed Biological Products
562.052
Release of Confidential Records
562.053
Reports to Board
562.054
Emergency Refills
562.055
Report to Texas Department of Health
562.056
Practitioner-patient Relationship Required
562.057
Administration of Epinephrine
562.0061
Other Prescription Information
562.0062
Required Statement Regarding Medication Disposal
562.101
Supervision of Pharmacy
562.102
Confidential Record
562.103
Display of Licenses by Pharmacy
562.104
Toll-free Telephone Number Required
562.105
Maintenance of Records
562.106
Notification
562.107
Written Consumer Information Required
562.108
Emergency Medication Kits
562.109
Automated Pharmacy Systems
562.110
Telepharmacy Systems
562.112
Practitioner-patient Relationship Required
562.0141
Transplant Immunosuppressant Drug Product Selection Prohibited
562.0142
Adoption of Rules
562.151
Definitions
562.152
Compounding for Office Use
562.153
Requirements for Office Use Compounding
562.154
Distribution of Compounded and Prepackaged Products to Certain Pharmacies
562.155
Compounding Service and Compounded Drug Products
562.156
Compounded Sterile Preparation
562.0541
Emergency Refills of Insulin and Insulin-related Equipment or Supplies
562.1011
Operation of Class C Pharmacy in Certain Rural Hospitals
562.1045
Linking Internet Sites
562.1085
Unused Drugs Returned by Certain Pharmacists
562.1086
Limitation on Liability

Accessed:
Jun. 5, 2024

§ 562.014’s source at texas​.gov